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Decision time SBRT, IMRT or surgery

Prostate Cancer | Last Active: 17 hours ago | Replies (32)

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Profile picture for northoftheborder @northoftheborder

There is no "right" answer: either surgery or radiation therapy (with ADT followup) has a high probability of durable success for early-stage prostate cancer, but neither is 100%.

You can't know what long-term side-effects you'll get with either, or whether they'll be mild or more difficult. It's not even true anymore that you can't have your prostate removed surgically *after* radiation.

In the end, flipping a coin is as good an approach as any. Or consider secondary factors: who do you connect better with, the surgeon or the radiation oncologist? How far do you have to travel for each? Are 5–20 quick 30-minute radiation visits more or less disruptive to your life than surgery and recovery?

Best of luck!

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Replies to "There is no "right" answer: either surgery or radiation therapy (with ADT followup) has a high..."

@northoftheborder With the experience I have had with 2 surgeons not to good of a feeling but for different reasons. I really had no real problem with either oncologists I have met with. I am in a pretty rural area and do not feel real comfortable with the local hospitals for this so the second opinion was at Duke and that is 1 1/2 hours away. I am as I said leaning towards the SBRT with or without the ADT (whatever the Dr's final call is on that. I keep having second thoughts so just struggling with a decision.